Forum topic

3 posts / 0 new
Last post
PIV dwelling for 4 days

Does anyone have research to demonstrate the safety in leaving PIVs in past 72 hours?  There are several hospitals in our area that are doing this and I would like the EBP to support it.

Thank you,

mary deschneau
This study was published

This study was published recently; Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial


Conclusion Replacing peripheral intravenous catheters when clinically indicated has no effect on the incidence of failure, based on a composite measure of phlebitis or infiltration. Larger trials are needed to test this finding using phlebitis alone as a more clinically meaningful outcome.


Objective To compare routine replacement of intravenous peripheral catheters with replacement only when clinically indicated.


Cite this as: BMJ 2008;337:a339 doi:10.1136/bmj.a339

 Mary Deschneau RN, BSN,  VA-BC

I had a patient that I

I had a patient that I started a PIV in hic cephalic vein about 4 inches below the elbow using a 22G angio.  I assessed, cleansed with chloraprep and changed the dressing every 3 days (79 year old and my LTC background was to keep them in place as long as there are no S/S of complications).   It didn't look or feel like there had ever been a PIV there as soon as I removed it.  I saw him again 3 days after removal and 6 days after with no S/S of complications.  (This was his wish to keep it as long as there were no problems and the MD agreed).  I really believe it was the smallest catheter in a large vein as well as using the LifeShield Clave bonded to the TKO that helped.  Would I make this my usual practice? No, but I do know a lot of hospitals are going to the 72-96 hours.

Valorie Dunn,BSN, RN, CRNI, PLNC

Log in or register to post comments